| NPI | 1942744495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A130336) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL F1216074) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2025-10-30 |